Apply Online

You may submit this rental application if you wish to lease an apartment managed by Pondok Management. There is a $43.50 non-refundable application fee which covers the cost of a credit and background check. You may pay this using PayPal after submitting this application. If you choose, you may also print out an application and send a money order for $43.50. We do not accept checks as payment for the application process. Please note that we do not accept dogs at these communities.

Print an application:	PDF application form
	Microsoft Word application form

* required information

Personal Information

* Name

* Date of Birth

Apartments

* Apartment Type

Apartment Number(s)

If you are interested in a specific apartment, please list the apartment number(s)

Apartment Building

If you are interested in a specific apartment, please select the apartment building

Apartment Building Details

If you are interested in multiple apartments in multiple buildings, please explain

Desired move-in date

Additional Occupants

Additional Occupant 1

Name

Date of Birth

Additional Occupant 2

Name

Date of Birth

Additional Occupant 3

Name

Date of Birth

Pets

* Will you have any pets?

Yes No

Breed

Weight

Contact Information

* Primary Telephone

* Email address used at PayPal

Emergency Contact

* Name

* Telephone

* Relationship

Nearest Relative

Name

Telephone

Relationship

Addresses

Current Address

* Street Address

* City

* State

* Zip Code

* How long have you lived here?

* Reason for Leaving

Landlord Name

If applicable

Landlord Telephone

If applicable

Previous Address

Required if you have been at your current address for less than a year

Street Address

City

State

Zip Code

How long did you live here?

Reason for Leaving

Landlord Name

If applicable

Landlord Telephone

If applicable

History

* Have you ever been evicted?

Yes No

* Have you ever been sued for nonpayment of rent?

Yes No

* Have you ever been asked to move for breach of lease?

Yes No

* Have you ever filed bankruptcy?

Yes No

* Have you ever been convicted of a felony?

Yes No

If you answered yes to any of the above questions, please explain the circumstances:

Employment

Current Employment

* Company

* Telephone

* How long have you worked here?

* Monthly Take-Home Pay

* Position

* Supervisor

Previous Employment

Company

Telephone

How long did you work here?

Monthly Take-Home Pay

Position

Supervisor

Car

Required if you own a car

Car Make

Model

License Plate

State

Monthly Payment

Submit * I give permission for Pondok Management or their agent to perform a credit check on me. In addition I authorize Pondok Management or their agent to obtain background information on me to include past rental history, rent payment history and credit history from prior landlords, creditors or banks.

* Social Security Number

Additional Comments

This application, if approved, becomes part of the Rental Agreement. If any statements on this application are found to be false at any time, any lease in force may be terminated and TENANT shall remain responsible for LANDLORD'S damages. Applicant hereby authorizes the release of any and all information requested by Pondok Management or its assigned agent(s), including, but not limited to information regarding current and prior tenancies, employment, credit history and bank references. My signature below indicates acceptance of these conditions, including giving permission for Pondok Management to obtain a credit report on me. APPLICATION FEE: $43.50 per applicant. Each applicant is required to submit an application, and will be listed on the lease if tenancy is offered. Please submit applications from all prospective tenants together to be sure all are considered for the same apartment. Security deposit will be required upon issuance of keys. Depending upon credit scores and other circumstances, a co-signer may be required for tenancy. Please note that we do not accept co-signers who do not live in Virginia. The application fee submitted in association with this application is NON-REFUNDABLE, regardless of whether or not tenancy is offered.

After succesfully submitting your application, you will be directed to pay the $43.50 application fee at PayPal.